MICAH DAMEN HALE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DO

MICAH

DAMEN

HALE

MICAH DAMEN HALE DO

03/03/2022

03/03/2022

07/31/2023

SCOTTSDALE

AZ

85262

PRACTITIONER

II III IV V

N

11/30/2023